Product image of Milgamma N (Thiamine Hydrochloride, Cyanocobalamin, Pyridoxine Hydrochloride) supplied by GNH India

Milgamma N

Active Ingredient:
Thiamine Hydrochloride, Cyanocobalamin, Pyridoxine Hydrochloride
Origin:
EU

Milgamma N (Thiamine Hydrochloride, Cyanocobalamin, Pyridoxine Hydrochloride)

Thiamine Hydrochloride, Cyanocobalamin and Pyridoxine Hydrochloride, the active ingredients in Milgamma N, are a vitamin B complex presented as an intramuscular injection for intramuscular use. It addresses deficiencies of vitamins B1, B6 and B12 and related neuropathic conditions in patients requiring rapid repletion.
GNH India supplies Milgamma N as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Wörwag Pharma Gmbh & Co. Kg

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Milgamma N provides essential B‑vitamins for disorders of vitamin deficiency and associated neuropathy.

  • Vitamin B1 (thiamine) deficiency: restores thiamine levels and supports carbohydrate metabolism.
  • Vitamin B6 (pyridoxine) deficiency: normalizes amino‑acid metabolism and nerve function.
  • Vitamin B12 (cobalamin) deficiency: promotes red blood cell formation and myelin synthesis.
  • Peripheral neuropathy linked to B‑vitamin deficiency: alleviates sensory symptoms and improves nerve conduction.

How It Works

  • The three B‑vitamins act as co‑enzymes in key metabolic pathways: thiamine (B1) participates in the pyruvate dehydrogenase complex for carbohydrate oxidation; pyridoxine (B6) is required for transamination reactions and neurotransmitter synthesis; cyanocobalamin (B12) facilitates methylmalonyl‑CoA mutase activity and homocysteine remethylation, together supporting energy production, hematopoiesis and normal nervous system function.

Side Effects

Milgamma N is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Injection site pain or erythema
  • Mild headache
  • Transient nausea
  • Low‑grade fever
  • Dizziness
  • Mild pruritus at the site

Serious or Rare Side Effects

  • Anaphylactic reaction
  • Severe hypotension
  • Acute hemolysis in susceptible individuals
  • Stevens‑Johnson syndrome
  • Persistent neuropathic pain unrelated to deficiency
  • Serum electrolyte disturbances

Precautions & Warnings

Milgamma N should be used with attention to specific safety considerations.

  • Pregnancy: safety not established; use only if clearly needed.
  • Breastfeeding: caution advised; monitor infant for signs of deficiency.
  • Renal impairment: adjust monitoring as reduced clearance may affect vitamin levels.
  • Known hypersensitivity to any B‑vitamin component: avoid administration.
  • Concomitant high‑dose oral B‑vitamin supplements: assess for potential excess.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Milgamma N may interact with other medicines that affect vitamin metabolism or immune response.

Major Interactions (Avoid)

  • Methotrexate: can increase risk of hematologic toxicity.
  • High‑dose anticonvulsants (e.g., phenytoin, phenobarbital): may accelerate B‑vitamin depletion.

Moderate Interactions (Monitor Closely)

  • Oral contraceptives: may alter plasma vitamin B12 levels.
  • Metformin: can reduce B12 absorption, requiring monitoring.
  • Proton pump inhibitors: may impair B12 absorption from the gut.

Frequently Asked Questions

Milgamma N is a nutritional supplement that provides the B‑vitamins thiamine (B1), pyridoxine (B6) and cyanocobalamin (B12) via intramuscular injection. It is used to correct deficiencies of these vitamins and to support patients with peripheral neuropathy related to B‑vitamin shortage.

Each vitamin acts as a co‑enzyme in essential metabolic pathways: thiamine assists carbohydrate breakdown, pyridoxine supports amino‑acid and neurotransmitter synthesis, and cyanocobalamin is crucial for DNA synthesis and myelin formation. Together they help restore normal metabolic and nervous system function.

The dosage of Milgamma N is determined by the prescribing healthcare professional based on the patient’s clinical condition, severity of deficiency and response to therapy. The prescriber will specify the amount, frequency and duration of treatment.

Safety data for Milgamma N in pregnancy and lactation are limited. It should only be used when the potential benefit justifies any possible risk to the fetus or infant, and the decision should be made by a qualified healthcare provider.

To request Milgamma N, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where needed) and import documentation.

Milgamma N combines three essential B‑vitamins in a single injectable formulation, offering rapid systemic availability compared with oral supplements that may have variable absorption. This can be advantageous in acute deficiency states or when gastrointestinal absorption is impaired.

Milgamma N must be stored at 2‑8 °C, protected from light, and kept in its original packaging. It should not be frozen or shaken vigorously. Before administration, inspect the vial for particulate matter and ensure the solution is clear.

Milgamma N is given by intramuscular injection, typically into a large muscle such as the gluteus maximus. Administration should be performed by a qualified healthcare professional using aseptic technique.

Serious risks include anaphylactic reactions, severe hypotension, acute hemolysis in susceptible individuals, and rare severe skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored for any signs of hypersensitivity during and after injection.

Milgamma N is contraindicated in individuals with known hypersensitivity to any of its components. Caution is also advised for patients with severe renal impairment, uncontrolled hypertension, or those receiving medications that may interact significantly, such as methotrexate.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.